A phase 1 clinical trial of SP16, a first-in-class anti-inflammatory LRP1 agonist, in healthy volunteers

BACKGROUND: Endogenous serine protease inhibitors are associated with anti-inflammatory and pro-survival signaling mediated via Low-density lipoprotein receptor-related protein 1 (LRP1) signaling. SP16 is a short polypeptide that mimics the LRP1 binding portion of alpha-1 antitrypsin.

METHODS: A pilot phase I, first-in-man, randomized, double blind, placebo-controlled safety study was conducted to evaluate a subcutaneous injection at three dose levels of SP16 (0.0125, 0.05, and 0.2 mg/kg [up to 12 mg]) or matching placebo in 3:1 ratio in healthy individuals. Safety monitoring included vital signs, laboratory examinations (including hematology, coagulation, platelet function, chemistry, myocardial toxicity) and electrocardiography (to measure effect on PR, QRS, and QTc).

RESULTS: Treatment with SP16 was not associated with treatment related serious adverse events. SP16 was associated with mild-moderate pain at the time of injection that was significantly higher than placebo on a 0-10 pain scale (6.0+/-1.4 [0.2 mg/kg] versus 1.5+/-2.1 [placebo], P = 0.0088). No differences in vital signs, laboratory examinations and electrocardiography were found in those treated with SP16 versus placebo.

CONCLUSION: A one-time treatment with SP16 for doses up to 0.2 mg/kg or 12 mg was safe in healthy volunteers.

Medienart:

E-Artikel

Erscheinungsjahr:

2021

Erschienen:

2021

Enthalten in:

Zur Gesamtaufnahme - volume:16

Enthalten in:

PloS one - 16(2021), 5 vom: 06., Seite e0247357

Sprache:

Englisch

Beteiligte Personen:

Wohlford, George F [VerfasserIn]
Buckley, Leo F [VerfasserIn]
Kadariya, Dinesh [VerfasserIn]
Park, Taeshik [VerfasserIn]
Chiabrando, Juan Guido [VerfasserIn]
Carbone, Salvatore [VerfasserIn]
Mihalick, Virginia [VerfasserIn]
Halquist, Matthew S [VerfasserIn]
Pearcy, Adam [VerfasserIn]
Austin, Dana [VerfasserIn]
Gelber, Cohava [VerfasserIn]
Abbate, Antonio [VerfasserIn]
Van Tassell, Benjamin [VerfasserIn]

Links:

Volltext

Themen:

Anti-Inflammatory Agents
Clinical Trial, Phase I
Journal Article
LRP1 protein, human
Low Density Lipoprotein Receptor-Related Protein-1
Peptidomimetics
Research Support, Non-U.S. Gov't

Anmerkungen:

Date Completed 07.10.2021

Date Revised 20.09.2023

published: Electronic-eCollection

Citation Status MEDLINE

doi:

10.1371/journal.pone.0247357

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM325086923